ATI RN
microbiology test bank Questions
Question 1 of 5
A patient with chronic diarrhea had a stool sample revealing cysts with four nuclei. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Entamoeba histolytica. This is because Entamoeba histolytica is known to cause amebic dysentery, leading to chronic diarrhea. The presence of cysts with four nuclei in the stool sample is characteristic of Entamoeba histolytica. Giardia lamblia (choice B) is known to cause diarrhea but does not present with cysts containing four nuclei. Balantidium coli (choice C) is a ciliated protozoan that can cause diarrhea, but it does not have cysts with four nuclei. Trichomonas hominis (choice D) is a non-pathogenic protozoan commonly found in the human colon and is not associated with causing chronic diarrhea or cysts with four nuclei.
Question 2 of 5
Which of the following is a key feature of anaerobic bacteria?
Correct Answer: B
Rationale: The correct answer is B because anaerobic bacteria can grow in environments without oxygen. Anaerobic bacteria do not require oxygen for their metabolism and energy production. They can thrive in oxygen-deprived conditions by using alternative electron acceptors. Choice A is incorrect because anaerobic bacteria do not require oxygen to survive. Choice C is incorrect because anaerobic bacteria typically cannot survive in the presence of high concentrations of oxygen. Choice D is incorrect because anaerobic bacteria do not perform photosynthesis.
Question 3 of 5
Which of the following bacteria produce an endotoxin that causes fever and shock?
Correct Answer: D
Rationale: The correct answer is D (All of the above) as all three bacteria (Escherichia coli, Salmonella enterica, Neisseria meningitidis) produce endotoxins causing fever and shock. Endotoxins are lipopolysaccharides found in the outer membrane of Gram-negative bacteria and can trigger an immune response leading to fever and shock. Escherichia coli and Salmonella enterica are common causes of food poisoning and sepsis, while Neisseria meningitidis is responsible for meningococcal meningitis and septicemia. Therefore, all three choices are correct in producing endotoxins that can cause fever and shock.
Question 4 of 5
A 13 year old child complains about poor appetite, pain in the right subcostal area. Microscopical examination of duodenal contents revealed big pyriform cells with two nuclei. What microorganism was revealed?
Correct Answer: A
Rationale: The correct answer is A: Lamblia. The presence of big pyriform cells with two nuclei in the duodenal contents indicates Giardia lamblia infection. This parasite is commonly found in contaminated water and causes symptoms like poor appetite and abdominal pain. Trichomonas, Amoeba, Trypanosoma, and Toxoplasma are not typically associated with these findings and symptoms. Therefore, Lamblia is the most likely microorganism based on the clinical presentation and microscopic examination results.
Question 5 of 5
All are non-fermentative gram-negative rods except
Correct Answer: D
Rationale: The correct answer is D, Klebsiella pneumoniae. Klebsiella pneumoniae is a fermentative gram-negative rod, which means it can ferment sugars. In contrast, Pseudomonas aeruginosa, Acinetobacter baumannii, and Stenotrophomonas maltophilia are non-fermentative gram-negative rods. These organisms do not ferment sugars for energy production. Therefore, Klebsiella pneumoniae is the only fermentative organism among the choices, making it the correct answer.
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